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Research Article Volume 5 Issue 5
Ultrasound diagnosis of traumatic hemothorax
A Hilendarov, K Velkova, A Georgiev, N Siracov, L Tchervenkov
Department of Diagnostic Imaging, MU-Plovdiv, Bulgaria
Received: July 30, 2018 | Published: September 6, 2018
Citation: Hilendarov A, Velkova K, Georgiev A, et al. Ultrasound diagnosis of traumatic hemothorax. Int J Radiol Radiat Ther. 2018;5(5):272-274. DOI: 10.15406/ijrrt.2018.05.00177
Abstract
Introduction: The use of ultrasonography (US) for accurately identifying of free pleural fluid in the emergency patients sustaining blunt and penetrating trauma has been well established over the past 30 years.
Aim: To present our experience concerning the place of ultrasonography in the diagnosis, follow-up and therapy of free and encapsulated haemorrhagic collections in polytrauma patients.
Material and methods: Thoracic US, supine chest radiography, and CT were performed to assess for haemothorax in 107patients(35 female and 72 male) who sustained acute trauma of the chest.. US findings were compared with CT findings-the reference standard for haemothorax detection.All examinationsand invasive manipulations were performed with the informed consent of patients.
Results: In 107(35 female and 72 male) thoracic trauma patients in the conditions of emergency from August 2015 to September 2017 year, were performed conventional examinations and interventional procedures under US and CT control. All of the conventional ultrasound examinations were performed immediately after the primary clinical survey in the emergency department with the patient supine. In 32(91.42%) of them a sufficient amount of liquid collections was obtained, favoring the diagnosis and planning following therapy. Only in 3(8.57%) cases of 35 patients with performed invasive manipulations we failed to obtain pleural fluid due to thickened pleura. All FNAs were continued with evacuation of fluid.
Conclusion: Our experience and literature reports support the opinion that US should be used as a primery method in diagnosis and monitoring of haemothorax in major trauma patients.
Keywords: ultrasound examination, traumatic hemothorax, fine needle asp, detection, diagnosis, ultrasonography, US, percutaneous, trauma patients, chest radiography, CT, polytrauma, left intercostals, pleura, emergency
©2018 Hilendarov, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.